Provider Demographics
NPI:1215999644
Name:MCELHINNEY, PATRICIA MARION (MSN FNP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MARION
Last Name:MCELHINNEY
Suffix:
Gender:F
Credentials:MSN FNP
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:MARION
Other - Last Name:KENNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3550 N INTERSTATE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1196
Mailing Address - Country:US
Mailing Address - Phone:503-475-8437
Mailing Address - Fax:
Practice Address - Street 1:3550 N INTERSTATE AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1196
Practice Address - Country:US
Practice Address - Phone:503-475-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005464363LF0000X
OR097006501N1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9629601Medicaid
WA9629601Medicaid
WAAB20276Medicare ID - Type Unspecified